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Voluntary Withdrawl

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Notice of Voluntary Withdrawal

 

 

This is to inform you that I wish to withdraw from the Section 8 Housing choice voucher   program.  I understand that by completing this form, I am requesting that the Seminole County Housing Authority stop making Housing Assistance Payments (HAP) to my landlord. 

 

Please make my withdrawal date effective______________________________.

 

 

Head of household ________________________________________________________

 

Address ___________________________________________ Apt. No.______________

 

City _____________________________________ State _________ Zip _____________

 

       Telephone # ____________________________________________

 

 

 

 

      ________________________________________________________________

         Signature of Head of Household

 

 

      ______________________________

         Date

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